Positively Pregnant : Pregnancy Testing for H igh Risk Adolescents in Non-Traditional Locations
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Transcript of Positively Pregnant : Pregnancy Testing for H igh Risk Adolescents in Non-Traditional Locations
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Positively Pregnant: Pregnancy Testing for High Risk
Adolescents in Non-Traditional Locations
Jennifer A. Oliphant, EdD, Danielle LeVasseur, BS, Annie-Laurie McRee, DrPH, Kara Beckman, MA, Shari Plowman, MPH, Renee Sieving, RN, PhD
Division of Adolescent Health and Medicine, Medical School, University of Minnesota, Minneapolis, Minnesota
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Jennifer Oliphant, EdD, MPHNo relationships to disclose
Presenter Disclosers
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To determine the acceptability and feasibility of urine pregnancy testing (UPT) in community-based settings
To explore adolescents’ preferred methods for receiving UPT results
Project Purpose
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While pregnancy is commonly assessed via self-report, adolescents may not report pregnancy accurately or consistently over time
Incorporating biomarkers, such as UPT, has the potential to reduce bias and error in detecting pregnancy
Very limited past research on community-based UPT
Why?
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• Pilot study • Involved young women ages 16-20 years (n=28)
• Participants at high risk for unintended pregnancy• Constituted a subset of enrolled in a teen pregnancy
prevention intervention study
• Semi-structured qualitative interviews • Individual interviews addressed comfort with UPT in
various community locations, preferences for receiving UPT results
Project Design & Methods
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Qualitative Interview Content
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• 19 of 28 participants (68%) provided a urine sample for pregnancy testing• Rapid pregnancy tests on urine samples
• Interviews recorded, transcribed & content analyzed
Project Design & Methods
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All participants who provided a urine sample (68%) did so at a fast food restaurant, coffee shop, or library
Participants said that teens would be willing to provide urine samples if given a clear explanation of why the sample was needed
Results
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Context & privacy paramount in whether teens would participate in community-based UPT
Participants preferred to learn about UPT results by phone or in person
Terms “negative” & “positive” confused participants; suggest using “pregnant” or “not pregnant” when sharing test result
Results
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With positive test results, participants suggested providing resources for pregnancy options, clinic referrals
With negative test results, some participants suggested providing birth control information
Results
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Sharing UPT Results
Positive Results Negative Results
In person – 100% In person – 100%
Phone – 88% Phone – 100%
Voicemail – 65% Facebook message – 78%
Facebook message – 40% Voicemail – 65%
Text message – 37% Text message – 63%
Email – 33% Email – 60%
Letter – 33% Letter – 50%
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Community-based UPT is both feasible and acceptable among adolescent females at high risk for unintended pregnancy
Incorporating a biomarker into community-
based interventions is a promising way to improve pregnancy measurement and prevention efforts
Further, larger studies are needed
Conclusion
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Thank you.
What questions do you have?
This study was supported by the National Institute of Nursing Research (5R01-NR008778) and the Centers for Disease Control and Prevention (T01-DP000112). The views presented do not necessarily reflect those of the funders. The Prime Time study would not have been possible without the cooperation and contributions of the young women, clinics, and research staff involved with this project.
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Jenny Oliphant, EdD, MPH
Division of Adolescent Health and Medicine, Medical School, University of Minnesota
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